Mawonedwe: 0 Wolemba: Site Editor Nthawi Yosindikiza: 2025-05-23 Origin: Tsamba

Tibial Plateau ndi gawo lofunika lolemera la mawondo a mawondo. Mitsempha nthawi zambiri imayamba chifukwa cha kuvulala kwamphamvu kwamphamvu (mwachitsanzo, ngozi zagalimoto, kugwa) kapena kuvulala kwamphamvu (osteoporosis kwa okalamba), ndipo nthawi zambiri amaphatikizidwa ndi kuvulala kwa meniscus ndi ligament (mpaka 50 peresenti). Zolinga zazikulu za chithandizo ndi kubwezeretsa kusalala kwa malo, kukhazikika kwa miyendo, komanso kupewa nyamakazi yachiwiri yowopsa.

mphero yosavuta kapena yotalikirapo yong'ambika ya lateral mapiri
kugawanika lateral plateau pamodzi ndi compression fracture
kupanikizana kosavuta kwa lateral plateau
kuthyoka kwapakati (kuthyoka kwa mawondo / mawondo)
Kuphulika kwa bicondylar komwe kumaphatikizapo kugawanika kwapakati ndi kumbuyo
Kuphulika kwa mapiri awiri ndi kupatukana kwa tibial metaphysis kuchokera ku tibial stem
Kugwa kwapang'onopang'ono> 2mm kapena kusamuka kotsatira> 5mm
Kuthyoka kotseguka / kuphatikiza kwa osteofascial compartment syndrome
Kusakhazikika kwa bondo (kuzungulira kwamkati / kunja> 5 °) kapena kuvulala kwa ligamentous kumafuna kukonzedwa.
Odwala okalamba omwe amafunikira kusonkhanitsa mwachangu
Kuvulala kophatikizana kwa meniscus komwe kumafunikira kufufuza kwa arthroscopic

Opaleshoniyo amasankhidwa kuti ikhale yozungulira kapena yapakati pa bondo, malingana ndi malo ophwanyika. The lateral incision nthawi zambiri amagwiritsidwa ntchito pazigawo za lateral fractures, kuchoka ku lateral femoral condyle mpaka ku lateral tibial tuberosity. Khungu limadulidwa kenako limalekanitsidwa wosanjikiza ndi wosanjikiza, kulabadira kutetezedwa kwa mitsempha wamba ya peroneal, ndipo kuyenda kuyenera kukhala kofatsa powonetsa kumapeto kwa fracture kuti zisawonjezeke kuvulala kwa minofu yofewa.
Kugwa kwa articular pamwamba kumakwezedwa ndi periosteal stripper, ndipo ndondomekoyi imatsimikiziridwa ndi fluoroscopy mobwerezabwereza ndi makina a C-arm. Kwa fractures comminuted, nthawi zina m'pofunika imzale allograft kapena yokumba fupa thandizo pansi articular pamwamba. Pamalo olowa ayenera kukhala lathyathyathya ndi kusiyana kwa msinkhu kuchokera ku mbali yathanzi sikuyenera kupitirira 2 mm, zomwe zimatsimikizira mwachindunji kuchira kwa olowa pambuyo pa opaleshoni.
Zothyoka zovuta zokhudzana ndi metaphysis zimafuna kukonza mbale zothandizira, ndi mbale zokhoma zooneka ngati L zomwe zimagwiritsidwa ntchito popanga mbale zam'mbali ndi mbale zooneka ngati T zapakati. Pazigawo za bicondylar fractures, maopaleshoni ena amasankha kukhazikika kwa mbale ziwiri, koma kusamala kuyenera kuchitidwa kuti mupewe kuvula kwambiri kwa periosteum, zomwe zingakhudze magazi.

Mapangidwe opangidwa kale a anthu aku Asia, Africa, ndi Latin America okhala ndi tibial morphology (ma chart oyerekeza a biomechanical atha kulumikizidwa).
Multi-axial locking screw system imagwirizana ndi makulidwe osiyanasiyana a mafupa (mwachitsanzo, osteoporosis mwa akulu akulu aku Africa, kuvulala kwamphamvu kwa achinyamata aku Asia)
Kuchulukitsa kachitidwe kamodzi kokha ndikuchepetsa mtengo wokonzanso (yerekezerani ndi data wamba)
Kukhazikika kwakukulu komanso kuchepa kwafupipafupi kwa zida m'malo akutali.
Njira yosavuta yopangira opaleshoni (mwachitsanzo, njira ya MIPO yosokoneza pang'ono), kufupikitsa njira yophunzirira ya maopaleshoni.
Zida zothandizira zonyamulika za madera opanda zida
Chovala chotsekera cha tibial lateral ndi Precision Orthopedic Solution yopangidwa mwaluso ndi CZMEDITECH - yokhazikika pa kusinthika kwa thupi komanso motsogozedwa ndi masomphenya apadziko lonse lapansi - odzipereka kuti apatse odwala padziko lonse lapansi ma fractures ovuta njira yothandizira, yofikirika, komanso yotsika mtengo..
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